Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,248.07 / $11,748.98	Facility		$1,949.84	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $4,570.88	Professional		$1,445.44	$1,905.46	$4,570.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $13,803.84	Facility		$3,981.07	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $4,073.80	Professional		$1,380.38	$1,778.28	$4,073.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $37,153.52	Facility		$2,398.83	$2,398.83	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,884.03 / $50,118.72	Facility		$34.67	$2,884.03	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $7,244.36	Professional		$1,659.59	$2,511.89	$7,244.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $5,754.40	Facility		$1,778.28	$2,511.89	$5,754.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $3,467.37	Professional		$1,737.80	$2,398.83	$3,467.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $3,548.13	Professional		$1,380.38	$2,187.76	$3,548.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $50,118.72 / $75,857.76	Facility		$1,698.24	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,238.72 / $3,715.35	Professional		$398.11	$2,238.72	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $5,128.61	Professional		$1,445.44	$2,041.74	$5,128.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $7,762.47	Facility		$1,380.38	$1,995.26	$7,762.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $5,011.87	Professional		$1,380.38	$2,089.30	$5,011.87